Erectile Dysfunction (ED)

Erectile Dysfunction (ED)

Dr. Pugach No Longer Treats Men With ED And Refers Patients To USC Institute Of Urology At Keck Medicine USC.

Erectile dysfunction, or impotence, is defined as an inability to achieve an erection that is satisfactory for sexual activity. It might mean an erection that is too soft or one that doesn’t last long enough for some. It might mean not getting any erection at all for others.

One thing is true for almost everyone: erection problems are difficult to discuss. Most men don’t like to admit that they could have this condition, because of embarrassment or a belief that it shows a psychological problem or physical weakness. It can have a significant effect on relationships by interfering with the intimacy that most couples enjoy. Erection problems are almost always due to physical changes that occur in all men as they get older. Changes in the arteries that supply blood to the penis during an erection, or abnormal function of the veins or nerves in the penis, are the most common causes. These can result from many conditions, such as arteriosclerosis (“hardening of the arteries”), high blood pressure, diabetes, back injuries, strokes and trauma, to name just a few. There can be psychological causes, too, but these often are due to worry and concern about the physical changes that occur in our bodies as we get older. In other words, once a physical problem starts, performance anxiety can make it worse.

Other common causes of ED include side effects of commonly used medications, lack of exercise, excessive alcohol use, smoking and unhealthy diets.

The good news is that almost all cases of erection problems can be accurately and quickly diagnosed. The ease of diagnosis makes finding a treatment simpler and faster than ever before.

WHAT IS THE CLINICAL ASSESSMENT USED TO DIAGNOSE ERECTILE DYSFUNCTION (ED)?

Are you still experiencing spontaneous nighttime or morning erections?

Is your libido (sex drive) still strong?

And a variety of medical questions to help determine the cause of a patient’s ED.

A basic physical examination, coupled with some simple blood or x-ray tests, are typically all that are required to help Dr. Robert Pugach with his diagnosis and allow him to recommend a course of treatment.

Your examination and tests may include:

Examination of the penis for any anatomical problems

Examination of the prostate gland via a digital rectal exam and PSA test for prostate cancer

Pacific Coast Urology Medical Centers offers 10 Centers of Excellence for the diagnosis and minimally invasive treatments of urologic conditions at two offices in Huntington Beach and Los Alamitos, CA. Dr. Robert Pugach treats many patients who travel from Los Angeles, Orange, Riverside and other California Counties including San Bernardino, Ventura, and Santa Barbara. We offer out-of-state travel arrangements for patients travelling outside of California and International patients.

Dr. Robert Pugach and his professional staff are on the forefront of new, innovative and minimally invasive treatments for your urologic conditions.
If you are looking for advanced urologic diagnosis and treatment that is faster, less invasive and more convenient for your active lifestyle,
Dr. Robert G. Pugach and his expert staff can help.

This website does not contain medical advice and the use of this website does not create a doctor/patient relationship between you and Dr. Pugach. The photographs of models displayed on the headings and borders of this web site are for decorative purposes only.